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An Efficacy and Safety Study of Clemizole HCl in Patients With Lennox-Gastaut Syndrome

RecruitingPhase 3

Multicenter, Randomized, Double-blind, Placebo-controlled Trial of Clemizole HCl as Adjunctive Therapy in Patients With Lennox-Gastaut Syndrome

Who can join

Ages 2 to 55 · All sexes

Full eligibility criteria
Key Inclusion Criteria:

1. Males or females, ages ≥2 to ≤55 years, at the time of Screening.
2. Participant/parent/legal authorized representative (LAR) willing and able to give written informed consent/assent.
3. Diagnosis of LGS, including:

   * Evidence of at least one type of countable major motor seizure.
   * History of electroencephalogram (EEG) consistent with LGS (abnormal background activity, and one of the following: 1) slow spike-wave discharges \[\<2.5 Hz\], or 2) paroxysmal fast activity during sleep).
   * Abnormal cognitive development.
   * Onset of seizures at 11 years of age or younger.

Key Exclusion Criteria:

1. Known sensitivity, allergy, or previous exposure to clemizole HCl.
2. Known history of long QT syndrome or any significant history of a serious abnormality of the electrocardiogram (ECG) (e.g., recent myocardial infarction, clinically significant arrhythmia).
3. Family history of sudden cardiac death, unexplained death, or death from a primary dysrhythmia potentially associated with QT prolongation in any family member.
4. Seizures secondary to illicit drug or alcohol use, infection, neoplasm, demyelinating disease, degenerative neurological disease, or progressive central nervous system disease, metabolic illness, recent anoxic episode within the last 6 months requiring resuscitation, or progressive degenerative disease or any other condition, which in the opinion of the investigator, could affect seizure control.
5. Epilepsy surgery planned during the study or epilepsy surgery within 6 months prior to Screening.
6. Concomitant use of fenfluramine.
7. Prior or concomitant use of lorcaserin.

About the study

This is a multicenter, Phase 3, randomized, double-blind, placebo-controlled study designed to evaluate the efficacy and safety of clemizole HCL (EPX-100) as adjunctive therapy in children and adult participants with Lennox-Gastaut syndrome (LGS).

What is being tested

Sponsor: Epygenix · Participants: 260 · Started: Apr 9, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT05066217

Locations in the U.S.

FloridaUniversity of Miami Miller School of Medicine, Miami
AdventHealth Innovation Tower, Orlando
IllinoisRe:Cognition Health, Chicago
KentuckyNorton Children's Medical Center, Louisville
MinnesotaMinnesota Epilepsy Group, P.A., Roseville
NebraskaChildren's Nebraska, Omaha
New JerseyTekton Research, Marlboro
New YorkNYU Comprehensive Epilepsy Center - BRANY - PPDS, New York
Weill Cornell Medicine/New York Presbyterian Hospital, New York
North CarolinaAtrium Health STRIVE Research, Charlotte
On-Site Clinical Solution, Charlotte
Duke University Medical Center, Durham
PPD Virtual-Science 37, Inc., Morrisville
PennsylvaniaChildren's Hospital of Philadelphia, Philadelphia
TexasChildren's Health Specialty Center, Dallas
UTHealth Houston, Houston
UtahClinical Neurosciences Center, Salt Lake City

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.